Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,363.52 / $5,345.43 / $22,024.00	Facility		$2,363.52	$5,345.43	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,573.37 / $18,633.84 / $35,644.43	Facility		$2,573.37	$18,633.84	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.17 / $858.79 / $858.79	Facility	AS	$262.17	$858.79	$858.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,813.00 / $3,717.54 / $5,170.37	Facility		$1,813.00	$3,717.54	$5,170.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,675.40 / $3,637.55 / $3,772.77	Facility		$2,675.40	$3,637.55	$3,772.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,514.15 / $2,514.15 / $2,573.37	Facility		$2,514.15	$2,514.15	$2,573.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $1,433.30 / $8,242.00	Facility		$1,303.00	$1,433.30	$8,242.00